ABSTRACT
BACKGROUND: Transversus abdominis plane block (TAP block) is useful for lower abdominal operations. Recently, ultrasound guided nerve block has been performed with ultrasound scanning. METHODS: We investigated the effectiveness of TAP block in 64 pediatric patients (aged 5-12 years, F/M = 21/43) receiving bone graft from the ilium to the alveolar cleft. We compared the dosages for postoperative analgesics between the groups of TAP block and non-TAP block. RESULTS: In the TAP block group, the frequency of using the postoperative analgesics was lower compared with non TAP block group (P < 0.05). CONCLUSIONS: We concluded that TAP block was effective in pediatric patients receiving bone graft to the alveolar cleft.
Subject(s)
Alveolar Process/abnormalities , Bone Transplantation , Nerve Block/methods , Abdominal Muscles/innervation , Alveolar Process/surgery , Alveoloplasty , Child, Preschool , Female , Humans , Male , Retrospective StudiesABSTRACT
Transversus abdominis plane block is effective for lower abdominal and inguinal operations, and rectus sheath block is effective for abdominal operations. Recently, ultrasound guided nerve block has been employed, and these techniques can be performed with ultrasound scanning. An 82-year-old man with severe coronary failure and chronic obstructive pulmonary disease was scheduled for inguinal hernia repair. We did not want to select general anesthesia for him, and performed rectus sheath block and transversus abdominis plane block. We achieved good anesthetic management using two peripheral blocks under ultrasound scanning.